Radius original left hand toothbrush comes in a package of one toothbrush. Our big handle and thumb grip guide your hands to brush at the dentist recommended 45 degree angle. Our products are certified cruelty free and vegan, bpa-free and made with fda approved colors and materials. The bristles on our original left hand brush are soft and last 3 times longer than other toothbrushes. See label for warnings.